Individual
DR. GREGORIO NUNEZ MEDALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1052 DOWNING CIRCLE, WAUCHULA, FL 33873
(863) 773-3773
(863) 773-0358
Mailing address
1052 DOWNING CIRCLE, WAUCHULA, FL 33873
(863) 773-3773
(863) 773-0358
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME44016
FL
208D00000X
General Practice Physician
ME0044016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068576300
—
FL
Enumeration date
08/01/2006
Last updated
05/07/2012
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